Modifier Madness: Understanding New and Old Difficult to Operationalize Modifiers

Event Information
Product Format
Prerecorded Event
75 minutes
Product Description

Review of New Modifier from a Coding, Billing, Compliance and Revenue Perspective


If you want to gain insights on how to report new modifiers required by CMS (i.e. PO, L1, and two new expected modifiers) and also how to address challenging problems with some existing difficult to report modifiers that are key targets for auditors (i.e., 59, 25)—you are at the right place.

Join expert speaker Jugna Shah, MPH in this informative webinar to gain knowledge on how to use modifiers compliantly. She’ll provide tips on how to be in compliance and ensure correct payment.

During this webinar Jugna will provide some case examples and reference information on where to find more details on these modifiers. Also, get heaps of tips and tools on what to look for in terms of documentation before appending these modifiers.

Session highlights:

  • A review of the following modifiers from a coding, billing, compliance and revenue perspective:
    • PO, new modifier related to CT scans that are not NEMA compliant;
    • Proposed new modifier CP for collecting information on services related to comprehensive APC services;
    • L1 to report unrelated laboratory services, -59 and the X(EPSU) modifiers, 25, and a round-up of others of significance.
  • Tips and tools on what to look for in terms of documentation before appending these modifiers;
  • The revenue and compliance risk of these modifiers;
  • Hospital vs. Physician reporting requirements of services furnished in off-campus Provider-Based Departments (PBDs);
  • Audit/Internal Review Ideas
  • Case Studies & Reference Information

Who should attend

Coding professionals, patient financial services staff and/or billing specialists, HIM directors, compliance officers, and anyone involved in appending or addressing modifier issues in the facility setting

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About Our Speaker

jugna Shah - Hospitals & Healthcare System Coding Expert

Jugna Shah, MPH, is the president and founder of Nimitt Consulting Inc. and specializes in working with hospitals, health systems, advocacy organizations, and international governments on regulatory and health care financing issues. In the U.S., Ms. Shah works with hospitals to manage the clinical and financial operations related to OPPS/APCs.

She also raises important payment system issues to Medicare and the APC Advisory Panel to improve the APC...   More Info
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